제왕절개술 환자에서 수술전 투여한 ketamine의 혈청 interleukin-6 및 수술후 통증에 대한 효과

김진수,김유재,안기량,김천숙,김일호,한찬수 순천향의학연구소 1997 Journal of Soonchunhyang Medical Science Vol.3 No.2

The inflammatory reaction to tissue damage during surgery may induce central sensitization followed by hyperalgesia. Previous studies suggest that central sensitization is related to N-methyl-D-aspartate (NMDA) receptor activation, which can be blocked with NMDA antagonist, ketamine. Thus, we compared the effect of preoperative intravenous and epidural low doses of ketamine with placebo on serum interleukin-6 (IL-6) level and postoperative pain. ASA class I and II women scheduled for C-sections received intravenous ketamine 0.15mg/kg(group 2) or placebo(group 1), or epidural ketamine(0.15 mg/kg) before the operation. IL-6 levels were measured before and during the operation, and 8, 24, and 48 hrs after the operation. Visual Analogue Scales(VAS) and Verbal Ration Scales(VRS) were measured at 8, 24, and 48 hrs after the operation. Serum IL-6 levels at 8, 24, and 48 hrs after the operation were significantly lower in the intravenous ketamine and epidural ketamine groups than in the control group. VAS at 8 hrs and 48 hrs after the operation were significantly lower in the epidural ketamine group. VAS at 8 hrs and 48 hrs after the operation were significantly lower in the epidural ketamine group than in the control and intravenous ketamine groups. In conclusion, in the preoperative intravenous and epidural administration of low doses(0.15mg/kg) of ketamine, both are effective in reducing postoperative IL-6 levels. Epidural Ketamine is more effective than intravenous ketamine in postoperative pain control.

근대 일본 유학생의 공간 체험과 표상 : 유학생 기행문을 중심으로 Studied Students in Modern Times

김진량 우리말글학회 2004 우리말 글 Vol.32 No.-

This paper aims to explore the appearance of early modern Japan-studied students' spatial experience and representation in their travel writings. This aim attempts to reinterpret the studying abroad in modern times not from ideological/systemic but from private experiential perspective In this perspective, studying abroad serves as a major momentum for subject forming of overseas students, and their subjectivity provide a epistemological foundation for the modern Korean literature. In tins paper, the overseas students I spatial experience is regarded as an essential motif for modem subject forming. Space creates an universal body which be adapted to a certain space by controling the body The adapted body is a precondition for homogenized recognition. The students' spatial experience progress toward organizing of recognition system required from a certain space At first, the overseas students internalize the body control at the school m which they are learning The internalizing of spatial experience is kept on in the area of private spatial experience, The record of private spatial experience are overseas students I travel writings And we can identify the relationship between the spatial experience and the organizing of modern epistemological system through the spatial representation in their travel writings

세탁기용 12/8극 외전형 SRM의 설계 및 특성 해석

박보량,김아란,안진우,이동희 경성대학교 공학기술연구소 2012 공학기술연구지 Vol.18 No.-

본 논문에서는 기존의 세탁조와 전동기 사이 기계적인 기어 및 벨트를 이용하여 전동기의 토크를 전달해 세탁하는 간접 구동방식이 아닌 세탁기의 저소음화를 위한 기어 및 벨트를 제거한 직접 구동방식의 외전형 SRM을 설계하였다. 세탁기에서 저속 고토크 특성을 가지는 세탁모드와 고속 저토크인 탈수모드를 모두 만족하는 넓은 가변속 범위 특성을 가지는 외전형 SRM을 설계하고 FEM 특성을 해석하였으며, 제안된 12/8 외전형 SRM이 드럼세탁기의 직접 구동 전동기로 사용될 수 있는 가능성을 확인하였다.

Nuss 방법에 의한 소아 오목가슴 수술 후 정맥 통증자가조절법을 사용한 Fentanyl 과 Fentanyl-Ketorolac의 진통효과 비교

안기량,서은정,김천숙,강규식,유시현,정진헌,정지원 순천향의학연구소 2006 Journal of Soonchunhyang Medical Science Vol.12 No.2

..

요하지통 환자에서 두 개의 캐눌라를 이용한 박동성 고주파 신경근 응고술의 임상 연구

김천숙,배재영,배덕구,강규식,안기량,권진형,김지은,유시현 순천향의학연구소 2003 Journal of Soonchunhyang Medical Science Vol.9 No.1

Dorsal root ganglion(DRG) block by the local anesthetics and steroids which has done classically in low back pain(LBP) patients with radiculopathy has high incidence of recurrence rate and side effects of steroids. Recently a new technique of pulsed radiofrequency thermocoagulation(P-RFTC) was introduced and substituted for it because of the benefits such as relatively low recurrence rate, low risk of nerve injury and comfort during the procedure. We experienced 15 patients who had LBP with radiculopathy and no or little response to epidural steroid injection. When we performed DR ganglionotomy by P- RFTC under the C-arm guide in these patients, we tried to approach the exact DR ganglion using tow cannulas - the one for obtaining patient's subjective symptoms and injection of contrast dye, the other for making a RF lesioning after identifying the impedance of sensory and motor stimulation. In conclusion, DR ganglionotomy by P- RFTC using two cannulas in LBP patients is an easy and safe procedure with satisfactory results.

심한 척추후측만증 환자의 대퇴골절 복원술을 위한 부위마취 : 증례보고 A case report

김지은,박대용,유시현,강규식,권진형,김천숙,안기량 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2

Kyphoscoliosis is a disease manifested as lateral curvature of spine and accompanying rotation of the vertebrae, resulting in distortion of rib cage. Restrictive lung disease and pulmonary hypertension progressing to cor pulmonale are the major cause of mortality in patients with kyphoscoliosis. We had experienced a successful spinal and caudal epidural anesthesia for the open reduction and internal fixation with plate of fractured femur shaft in two patients with severe kyphosoliosis. We had chosen regional anesthesia as an anesthetic method because of there poor pulmonary function and severe deformities of thoracolumbar spine. We could achieve the adequate anesthetic sensory dermatome level, T_(5) and T_(8), for operation without any significant deterioration of blood pressure and respiration. We recommended that regional anesthesia is a useful anesthetic method for a patients with severe kyphoscoliosis when the operation on hip or lower extremity is required.

수술실 오염도감소를 위한 수술실공조시스템에 대한 연구

김천숙,박은정,강규식,김지은,안기량,권진형,유시현,주영철,권순정 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.1

Background: The OR(operating room) should provide an optimum environment that is safe for the patient and the working personnel. The air ventilation system of OR has been studied to decrease the contamination of air. We investigated the flow and contamination of the air in OR at our hospital. Method: Cultures in OR were made and the number of bacteria and fungi were calculated. A two-dimensional model for the cross-section of an operation room is developed for the CFD (computational fluid dynamics) analysis. The characteristics of air flow in the empty operation room and in the occupied operation room are calculated by using a CFD program. Results: The current air ventilation system of our hospital does not deliver the clean air to the operating site efficiently in occupied OR. Conclusions: We suggested a new location of air ventilation system which improves air venting with little increase of the cost of equipment.

규칙기반 데이타베이스 시스템 구현 기법에 대한 분석과 설계

李振鎬,金信姬,朴貞亮 慶一大學校 1997 論文集 Vol.14 No.2

It is useful of the integration of rule systems into DBMS. Because the rule-based system supports an eminent inference and analysis power and relational DBMS manages efficiently large data supporting consistency and independency. This paper compares and analyzes the four approach for the integration of rule system into DBMS. Also we design the inference system for rule-based database system.

신이식에서 이식신의 생존분석

오선미,김종학,황평주,구영선,강민규,나기량,김종섭,김성숙,이강욱,신영태,설종구,배진선,손기섭 충남대학교 의과대학 지역사회의학연구소 1997 충남의대잡지 Vol.24 No.2

To investigate the prognostic factors for the survival of transplanted kidney in patients with end-stage renal failure, 59 cases of renal transplantation from September 1986 to Feburary 1997 in Chungnam National University Hospital were analyzed retrospectively. The results were as follows: 1)The mean age of recipients was 33.8 years and that of doners was 38.9 years. The male to female ratio of recipients was 2.5:1, and that of donors was 1.03:1 2) Living related donore(LRD) were 79.6% and living non-related donors were 20.3%. The HLA-identical donors(ID) in LRD were 18.7% and HLA-haploidentical donors(HID) were 61.0%. In living non-related donors(LNRD), mean matched HLA-AB antigens were 1.56 and mean matched HLA-DR antigens were 0.56. 3) The average 5-year patient survival fate was 94%, and average 5-year graft survival rate was 70%. The 5-year graft survival fate of HLA-ID was 100%, and those HLA-HID and LNR were 70% and 36% respectively. 4) Total 33 episodes of acute rejection were found in 45.8% of transplanted patients. The number of acute rejection episode did not show significant difference between LRD and LNRD(P > 0.05). There was no significant difference in MLC between two groups(p > 0.05). 5) In comparison between the 18 patients who lost their graft function in 5 years and 17 patients who are maintaining graft function for more than 5 years, MLC was significantly lower in patients with functioning graft than of patients with non-functioning graft (p < 0.05). The number of rejection episode was also lower in patients with functioning graft than that of the patients with non-functioning graft(p < 0.05). However, there were no significant difference in recepient and donor age and history of pre-transplantation donor specific transfusion between two groups. With the results above, we can speculate that adequate donor selection according to good matched HLA typing and low MLC is very important for graft survival in renal transplantation. Prevention and treatment of acute rejection in renal transplantation is also na important factor for graft survival.

‘-子’계열 한자어에서 기원한 만주어 ‘-se’계열 단어에 대한 연구 - HMB(『御製淸文鑑』)에 등재된 어휘를 중심으로 -

여채려 ( Yu¸ Cai-li·kim ),김양진 ( Ryang-jin ) 경희대학교 인문학연구원 2020 인문학연구 Vol.0 No.45

본고는 ‘-se’ 로 끝나는 만주어 가운데 ‘X子’ 계열 한자어에서 기원 한 단어를 찾아 정리해 보고 그 단어의 제 양상 및 특징을 살펴보고 자 하였다. 이를 위하여, 먼저 만주어를 만주어로 풀이한 만주어 사전 HMB(1708, 『御製淸文鑑』)로부터 ‘-se’로 끝나는 만주어 ‘Xse’ 중 ‘X子’ 계열 한자어와 대응 관계가 있을 만 한 단어를 검색하여 1차 목록을 만들었다. 이렇게 추출한 1차 목록을 대상으로 하여, 『御製增訂淸文鑑』(1771)에 실린 만주어의 대역 한자 표제어나 여타의 만한합벽(滿漢合壁)의 문헌들로부터 이들 단어와 관련이 있을 한자어를 찾아 유형별로 비교 검토함으로써 이 만주어 단어들 속에 포함된 ‘-se’가 한자 접미사 ‘-子’와 관련되어 있을 개연성을 타진 하였다. 그 결과, 만주어 ‘-se’는 적지 않은 정도로 ‘-子’의 문법적인 의미와 대응됨을 확 인할 수 있었다. 본래 한자어 ‘-子’계열 단어에서 기원한 ‘-se’계열 한자어들은 어휘복제 (lexical replication)의 기제에 따라 만주어뿐만 아니라 한국어, 몽골어, 돌궐어 등 북방 알타이제어에 폭넓게 받아들여진 것이다. This paper aims to examine the aspect and characteristics of the Manchurian words ending in ‘-se’ which originated from Chinese words ‘X子’. To this end, firstly, the primary list of Manchurian words ‘Xse’ that likely to be correlated to Chinese words ‘X子’ was found and organized in the Manchu dictionary of HMB(1708, 『Yuzhi Qingwen Jian』). And then, this primary words list was classified and the corresponding relation between Manchu ‘-se’ and the Chinese suffix ‘-zi’ was examined by comparing and reviewing Chinese words in 『Yuzhi Zengding Qingwen Jian』(1771). As a result, ‘-se’ was viewed as the grammatical meaning and correspondence of ‘-zi’ to a considerable extent. The words of ‘Xse’ which originated from Chinese words ‘X子’ were widely accepted not only in Manchu but also in northern Altai language such as Korean, Mongolian, and Turkish, according to the mechanism of lexical replication.